BETH A MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076793

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

MAYFIELD

Business Name

BETH A MAYFIELD

Original Issue Date

07/14/1982

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019